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Organization
LOGAN SQUARE DENTAL SERVICE CENTER
Active
Organization
LOGAN SQUARE DENTAL SERVICE CENTER
Active
Other names
Cicero Irving Park Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LI D.D.S. (PRESIDENT)
(847) 284-0410
Entity
Organization
Contact information
Practice address
3946 N CICERO AVE, CHICAGO, IL 60641-2711
(773) 283-4838
(773) 283-4389
Mailing address
3946 N CICERO AVE, CHICAGO, IL 60641-2711
(773) 283-4838
(773) 283-4389
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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